手内在肌训练对手外伤术后患儿手部精细动作恢复的影响

Effect of hand intrinsic muscle exercise on the postoperative recovery of fine movement in children with hand injury

目的：每组探讨手内在肌训练对手外伤术后患儿手部精细动作恢复的影响。方法将64例手外伤术后患儿随机分为试验组与对照组，每组各32例。两组患儿伤后均在6～8 h内完成清创、骨折内固定术和肌腱吻合术，其中试验组进行手内在肌功能训练及传统康复护理治疗，对照组采.用传统康复护理治疗。分别于治疗第2、3个月后采.用尼苏达手灵巧度评定方法（minnesota manual dexterity test，MMDT）和普渡手精细运动评定方法（purdue pegboard test，PPT）进行测评。结果治疗后2个月与3个月后，试验组与对照组同时期的MMDT和PPT结果比较，均P＜0.01，差异具有统计学意义。结论儿童手外伤术后进行手内在肌训练，可促进手部精细动作的恢复。

Objective To study the effect of hand intrinsic muscle exercise on postoperative recovery of fine movement in children with hand injury.Methods From January 2009 to December 2011,64 children with hand injury were randomly divided to exercise group and control group equally.Hand intrinsic muscle exercise and rehabilitative care were conducted in the exercise group while traditional rehabilitative therapies in control group.After 3-month therapy,MMDT（Minnesota Manual Dexterity Test）and PPT（Purdue Pegboard Test）were conducted to evaluate the functional recovery of hands.Result The results of MMDT and PPT were obviously better in the exercise group than in the control group（P＆lt;0.01）.Conclusion Hand intrinsic muscle exercise may be effectively in promoting the recovery of fine movement in children with hand injury.